Associations between nutrient intakes and dietary patterns with different sarcopenia definitions in older Australian men

The concord health and ageing in men project

Bibliographic Data

ID15094807
AuthorsArpita Das (0009-0002-3321-7364, UNSW Sydney, corresponding author), Robert G Cumming (0000-0002-0261-6103, Concord Repatriation General Hospital), Vasi Naganathan (0000-0001-7243-0796, Concord Repatriation General Hospital), Fiona Blyth (0000-0003-1128-6756, The University of Sydney), David G Le Couteur (0000-0002-4227-5817, Concord Repatriation General Hospital), David J Handelsman (0000-0002-4200-7476, Anzac Research Institute), Louise M Waite (0000-0001-9056-6996, Concord Repatriation General Hospital), Rosilene V Ribeiro (0000-0001-8312-185X, The University of Sydney), Stephen J Simpson (0000-0003-0256-7687, The University of Sydney), Vasant Hirani (0000-0003-0131-3079, Anzac Research Institute)
Year2021
Volume24
Issue14
Pages4490-4505
Publication date2021-10-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980020003547
PMID33023717
OpenAlexW4248886130
LanguageEN
References cited59

Objective: To assess the associations between nutrient intake and dietary patterns with different sarcopenia definitions in older men. Design: Cross-sectional study. Setting: Sarcopenia was defined using the Foundation for the National Institutes of Health (FNIH), the European Working Group on Sarcopenia in Older People (EWGSOP) and the European Working Group on Sarcopenia in Older People 2 (EWGSOP2). Dietary adequacy of fourteen nutrients was assessed by comparing participants’ intakes with the Nutrient Reference Values (NRV). Attainment of NRV for nutrients was incorporated into a variable ‘poor’ (meeting ≤ 9) v. ‘good’ (meeting ≥ 10) using the cut-point method. Also, two different dietary patterns, monounsaturated:saturated fat and n- 6: n- 3 fatty acids ratio and individual nutrients were used as predictor variables. Participants: A total of 794 men aged ≥75 years participated in this study. Results: The prevalence of sarcopenia by the FNIH, EWGSOP and EWGSOP2 definitions was 12·9 %, 12·9 % and 19·6 %, respectively. With the adjustment, poor nutrient intake was significantly associated with FNIH-defined sarcopenia (OR: 2·07 (95 % CI 1·16, 3·67)), but not with EWGSOP and EWGSPOP2 definitions. The lowest and second-lowest quartiles of protein, Mg and Ca and the lowest quartiles of n -6 PUFA and n -3 PUFA intakes were significantly associated with FNIH-defined sarcopenia. Each unit decrease in n- 6: n- 3 ratio was significantly associated with a 9 % increased risk of FNIH-defined sarcopenia (OR: 1·09 (95 % CI 1·04, 1·16)). Conclusions: Inadequate intakes of nutrients are associated with FNIH-defined sarcopenia in older men, but not with the other two sarcopenia definitions. Further studies are required to understand these relationships

Confidence interval · Dietary Reference Intake · Environmental health · Nutrient · Polyunsaturated fat · Quartile · Sarcopenia · Saturated fat · Chemistry · Medicine · Nutrition and Health in Aging · Nutritional Studies and Diet · Obesity, Physical Activity, Diet · Endocrinology · Gerontology · Internal Medicine

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